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IntroductionUltrasound-guided internal branch of the upper laryngeal nerve block (USG-guided iSLN block) have been used to decrease the perioperative stress response of intubation. It is more likely to be successful than blindly administered superior laryngeal nerve blocks with fewer complications. Here, we evaluated the efficacy of USG-guided iSLN block to treat postoperative sore throat (postoperative sore throat, POST) after extubation.Methods100 patients, aged from 18 to 60 years old, ASA I~II who underwent general anesthesia and suffered from the moderate to severe postoperative sore throat after extubation were randomized into two groups(50 cases per group). Patients in group S received USG-guided iSLN block bilaterally (60mg of 2% lidocaine, 1.5ml each side), whereas those in group I received inhalation with 100 mg of 2% lidocaine and 1mg of budesonide suspension diluted with normal saline (oxygen flow 8 L /min, inhalation for 15 minutes). The primary outcome were VAS scores in both groups before treatment (T0), 10 min (T1), 30 min(T2), 1h(T3), 2 h(T4), 4h(T5), 8h(T6), 24h(T7), and 48h(T8) after treatment. The secondary outcome were satisfaction scores after treatment, MAP, HR, and SPO2 fromT0 to T8. The adverse reactions such as postoperative chocking or aspiration, cough, hoarseness, dyspnea were also observed in both groups.ResultsPatients in group S had significantly lower VAS score than that in group I at points of T1 ~ T6 (P < 0.01). HR of group S was lower than that of group I at points of T1 ~ T2and T4 (P < 0.05), and MAP was lower than that of group I at points of T1 ~ T3 (P < 0.05). Satisfaction scores of group S were higher than that of group I (P ConclusionCompared with inhalation, USG-guided iSLN block may effectively relieve the postoperative sore throat after extubation under general anesthesia and provided an ideal treatment for POST in clinical work.

Recent years have witnessed contrasting trends in summer total rainfall (STR) over the Tibetan Plateau (TP), with an increase in the northern and a decrease in the southern TP. This study identifies four significant centers of rainfall trends: eastern TP ("region A"), Qiangtang Plateau ("B"), Qaidam Basin ("C"), and the northern foothills of the Himalayas ("D"). Heavy rainfall dominates STR trends in regions A and D, accounting for 55.6% and 52.0%, respectively. In region B, moderate and light rainfall contribute almost equally, accounting for 37.3% and 44.8% of the STR trend, respectively. Region C is primarily influenced by light rainfall, explaining 71.2% of the STR trend. Notably, the contributions of different rainfall intensities to STR in each region vary annually, with region A experiencing more heavy rainfall, region B having moderate dominance but less light rainfall, and region C and D showing reduced and increased light rainfall contributions, respectively. Mechanistically, the strengthening of the upper-level westerly jet and the South Asian High, coupled with changes in moisture transport and convective available potential energy, collectively cause variations in rainfall intensity, characterizing the spatial heterogeneity in STR in the TP. [ABSTRACT FROM AUTHOR]

In this paper, a honeycomb Si3N4 ceramic was fabricated by 3D printing with a well‐preserved structure. The effects of Si3N4 content on the rheological properties of Si3N4/sol–silica ink and the printing resolution of products were investigated. The microstructure, phase composition, liner shrinkage rate, and fracture behavior of printed samples before and after sintering were systematically characterized in detail. The results showed that the modified inks had the optimized rheological properties, and the stress–shear rate curves corresponding to each slurry could be well described by Bingham and Herschel–Bulkley fluid models. The corresponding slump rates of the printed samples with different Si3N4 to sol–silica mass ratios were all lower than 4%, and the linear shrinkage rate of all of the samples after sintering was below 20%. The fracture behavior under compressive loading of the honeycomb Si3N4 ceramics tended to be non‐catastrophic fractures both before and after sintering. The compressive strengths of all of the printed samples decreased with the increase of the Si3N4 content, and the highest compressive strength of the honeycomb ceramics could reach 131.2 MPa after sintering at 1600°C, which was about 366.9% higher than that of the samples in green state prior to the sintering. [ABSTRACT FROM AUTHOR]